A Phase I Open-Label, Dose-escalation Trial of Tumor Necrosis Factor Alpha and Interleukin-2 Coding Oncolytic Adenovirus (TILT-123) in Combination With Pembrolizumab in Patients With Immune Checkpoint Inhibitor Refractory Non-Small Cell Lung Cancer
This is an open label, Phase 1, dose escalation trial evaluating the safety of oncolytic adenovirus TILT-123 in combination with Pembrolizumab in patients with immune checkpoint inhibitor refractory non-small cell lung cancer.
⁃ Histologically confirmed NSCLC cancer which cannot be treated with curative intent with available therapies and is refractory to or progressing after anti-PD(L)1 immunotherapy or immunotherapies.
⁃ At least one tumor lesion (\>15 mm or bigger) must be available for biopsy that in the opinion of the investigator, is accessible to repeated biopsies without major safety concerns.
⁃ The patient must have disease evaluable per RECIST 1.1
⁃ Have adequate organ function as defined in the following values below. Specimens must be collected within 10 days prior to the start of study treatment.
⁃ Hematological laboratory values
• Absolute neutrophil count (ANC): ≥1500/µL
• Platelets: ≥ 100 000/µL
• Hemoglobin: ≥9.0 g/dL or ≥5.6 mmol/L. Criteria must be met without packed red blood cell (pRBC) transfusion within the prior 2 weeks. Participants can be on stable dose of erythropoietin (≥ approximately 3 months.
• Leukocytes (WBC) \> 3.0
⁃ Renal laboratory values
• GFR: \>45 ml/min (Cockcroft-Gault formula).
• Hepatic laboratory values
• Total bilirubin: ≤1.5 ×ULN OR direct bilirubin ≤ULN for participants with total bilirubin levels \>1.5 × ULN (excluding patients with Gilbert's disease)
• AST (SGOT) and ALT (SGPT): ≤2.5 × ULN (≤5 × ULN for participants with liver metastases)
⁃ Patients must be willing to use adequate forms of contraception from screening, during the trial, and for a minimum of 120 days after end of treatment.
⁃ ECOG/WHO performance score of 0-1 at screening.
⁃ Life expectancy longer than 3 months.